Public Access Producers who do not reside in Eden Prairie, Edina, Hopkins, Minnetonka or Richfield must acquire a program sponsor who is a resident in one of the five member cities of the Southwest Suburbs to broadcast a program on SWTV Channel 15. This form should be submitted annually.
### ### ####
### ### ####

I agree. By checking this box and submitting this document electronically, you agree that you have read, understand, and will comply with the SOUTHWEST SUBURBAN POLICIES AND PROCEDURES FOR PUBLIC ACCESS PLAYBACK and that the OUTSIDE PRODUCTION TRACKING FORM is accurate to the best of your knowledge.

I have read and agree to the Statement of Responsibility

The Minnesota Data Privacy Act requires that we inform you of your rights about the private data we are requesting on this form. The following data contained on this form will be considered private data pursuant to M.S. 13.548: the name, address, telephone number, any other data that identifies the individual, and any data that describes the health or medical condition of the individual, family relationships, and living arrangements of an individual or which are opinions as to the makeup or behavior of an individual. We need this data to register you for a program and to contact you if necessary. Edina staff will have access to the data you provide to administer the program. You are not legally required to provide the data; however, refusing to supply the data may cause your registration to not be processed. Your acceptance here indicates you have read and understand these rights.

I have read and agree to the data privacy policy

© 2017 City Of Edina, Minnesota